Critical Care Medicine

Helpful overview of a common ICU problem. Figure 1 reviews pathobiology of new-onset atrial fib in ICU. Figure 2 proposes a step-wise approach to management

Readable summary of VA ECMO including a nice overview of the LV venting and north-south syndrome

Evergreen review of trigger, flow, and cycle dyssynchronies including recognition and management

Landmark study of hydrocortisone 200mg daily by continuous infusion vs placebo in 3,658 mechanically ventilated patients with septic shock (defined as use of vasopressor for at least 4 hrs). No difference in 90-day mortality between groups, but patients in the intervention arm with faster shock resolution, shorter time to liberation from mechanical ventilation, and shorter time to ICU discharge. Importantly, there was no increase in bacteremia or fungemia in the steroid arm. Steroids were continued for 7 days or until ICU discharge.

Pulmonary

Concise Clinical Review of Diffuse Cystic Lung Disease Part 1 and Part 2 – AJRCCM 2015

High-yield review of cystic lung disease including LAM, PLCH, Birt-Hogg-Dube, LIP, and amyloid (see Infographics for helpful summary table)

Helpful review of secondary pulmonary lobule anatomy, how to describe nodule distribution, and using distribution to inform differential diagnosis

Nice review of both infectious and non-infectious complications. Figure 1 provides a helpful review of complications by timing relative to transplant. Table 1 compares peri-engraftment respiratory distress syndrome, idiopathic pneumonia syndrome, and DAH